| NPI | 1871044412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C011902) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NC P011062) |
| 104100000X Social Worker (Licence: NC C011902) | |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2024-10-09 |